Liposomal Bupivacaine: A Comparative Study of More Than 1000 Total Joint Arthroplasty Cases.

Barrington, John W; Olugbode, Oluseun; Lovald, Scott; Ong, Kevin; Watson, Heather; Emerson, Roger H · Orthop Clin North Am · 2015

retrospective_cohort · Level III

Where this comes from

Abstract

Pain after total joint arthroplasty (TJA) can be severe and difficult to control. A single-dose local analgesic delivers bupivacaine in a liposomal time-release platform. In 2248 consecutive patients with hip and knee arthroplasty, half (Pre) were treated using a well-established multimodal analgesia, including periarticular injection (PAI), and half had the PAI substituted for a liposomal bupivacaine injection technique (Post). Pain scores were significantly lower for patients in the Post group for both hip and knee procedures. A large series of patients who had TJA experienced pain relief after the introduction of liposomal bupivacaine as part of an established multimodal protocol.

Medical subject headings

Anatomy